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Comparing dysmenorrhea beliefs and self-management techniques across symptom-based phenotypes
Sarah Katherine Rogers1, Kevin L Rand2, Chen Xiao Chen2
1Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
Journal of Clinical Nursing
|March 24, 2021
Summary
Women with more severe dysmenorrhea (painful periods) have more negative beliefs and use more self-management techniques. These findings highlight differences in perception and management across dysmenorrhea phenotypes.
Area of Science:
- Reproductive health
- Pain management
- Psychosomatic medicine
Background:
- Dysmenorrhea (painful periods) affects many women of reproductive age with diverse symptoms.
- Distinct phenotypes of dysmenorrhea exist: mild localized pain, severe localized pain, and multiple severe symptoms.
- Understanding belief differences and self-management variations across these phenotypes is crucial.
Purpose of the Study:
- To compare beliefs about dysmenorrhea and self-management techniques across three identified dysmenorrhea symptom-based phenotypes.
- To investigate if women from different dysmenorrhea phenotypes hold distinct beliefs and utilize varied self-management strategies.
Main Methods:
- Quantitative secondary analysis of cross-sectional survey data from 762 women with dysmenorrhea in the United States.
- Participants reported dysmenorrhea symptom intensity, beliefs (consequences, timeline, controllability, severity, normalcy, emotional response), and self-management techniques.
- ANOVA and Tukey's HSD tests compared beliefs and techniques across mild localized pain, severe localized pain, and multiple severe symptoms phenotypes, adhering to STROBE guidelines.
Main Results:
- Women with multiple severe symptoms exhibited significantly more negative beliefs and utilized more self-management techniques compared to severe localized pain and mild localized pain groups.
- Women with severe localized pain also showed significantly more negative beliefs and greater self-management technique use than the mild localized pain group.
- Negative beliefs encompassed consequences, timeline, control, severity, normalcy, emotional response, and willingness to use complementary medicine.
Conclusions:
- Findings support the distinctiveness of dysmenorrhea symptom-based phenotypes.
- Women in different phenotypes not only experience varying symptom severity but also perceive and manage dysmenorrhea differently.
- Results suggest tailoring interventions to specific dysmenorrhea phenotypes for improved clinical practice.
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